History

 Family History: age, onset,

description of progression
 Current flair up:
Psoriasis gradual or sudden,
where it first appeared,
Topical Therapy
Patho changes in severity over
 Chronic Autoimmune time,
Anti-inflammatory Langerhan’s
Overstimulation&ofsuppress cell Cells are fever and itching
division
Skin cells are produced faster than present
 they can be shed
Corticosteroids inflammation
Shedding
o When prescribed occlusive
 Normal basalinc.
dressings cells 28 days
absorption
 oPsoriasis
Teach:cell division
avoid face, scalp,4 to 5 days
skinfold areas
 Tar Preparation
o MESSY, staining & odor
 Anthralin
o Strong irritant can cause
chemical burns
o Teach: Don’t leave on to
long, wash off after each
use, check for local tissue
reaction, do not apply to
surrounding skin
 Calcipotriene
o Synthetic Vitamin D
(regulates cell division)
 Tazarotene
o Derivative Vitamin A
(slows cell division & dec.
inflammation)
o Teratogenic: teach strict
contraceptive measures